Provider Demographics
NPI:1902684541
Name:XPRESS PHARMACY INC
Entity Type:Organization
Organization Name:XPRESS PHARMACY INC
Other - Org Name:XPRESS MEDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALZEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-598-5000
Mailing Address - Street 1:6700 W 95TH ST STE 150
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2280
Mailing Address - Country:US
Mailing Address - Phone:708-598-5000
Mailing Address - Fax:
Practice Address - Street 1:4201 W 95TH ST UNIT G
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2615
Practice Address - Country:US
Practice Address - Phone:708-598-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-15
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy